Medicaid Code of Administrative Rules, Sections 0374/0375: Community Supported Living Arrangements and the Integrated Care Program


218-4791 INACTIVE RULE

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Title 218 Department of Human Services
Chapter XXX Old Regulations Which Were Not Assigned Chapter-Subchap-Part
Subchapter XX Old Regulations Which Were Not Assigned Chapter-Subchap-Part
Part 4791 Medicaid Code of Administrative Rules, Sections 0374/0375: Community Supported Living Arrangements and the Integrated Care Program
Type of Filing Amendment
Regulation Status Inactive
Effective 05/25/2014 to 08/17/2016

Regulation Authority:

Chapter 40-8 of the Rhode Island General Laws, as amended, Title XIX of the Social Security Act, Medicaid Section 1115 Waiver

Purpose and Reason:

The Executive Office of Health and Human Services is promulgating amended regulations related to Medicaid beneficiaries who are eligible under the categories of being aged, blind or living with a disability. These persons are currently required to enroll in one of the two care management programs: “Connect Care Choice” or “Rhody Health Partners.” When a Connect Care Choice or Rhody Health Partners member becomes eligible for Medicaid long-term services and supports (LTSS), this mandatory enrollment requirement will no longer apply. Upon being determined eligible for Medicaid-funded LTSS, the Medicaid beneficiary will be disenrolled from Connect Care Choice/Rhody Health Partners and offered the choice of enrolling in the alternate programs, Rhody Health Options, Connect Care Choice Community Partners, or a fee-for-service (FFS) option. Other technical edits and editorial changes have been made to the rule.